Investigation into NHS continuing healthcare funding

National Audit Office
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This report sets out the facts relating to access NHS continuing heathcare (CHC) funding. CHC funding is a package of care provided outside of hospital arranged and funded by the NHS for people aged 18 years and older who have significant ongoing healthcare needs. The report covers: who is eligible for CHC funding and what the assessment process is; how long the assessment and decision-making process takes; access to CHC funding; the cost of CHC to the NHS; variation in access to CHC funding; and the Department of Health's and NHS England’s arrangements for reviewing access of CHC funding. If someone is assessed as eligible for CHC their health and social care costs are paid for by the Clinical Commissioning Group (CCG). But if they are assessed as not eligible, the local authority and/or the individual may have to pay their social care costs instead. The report found that the number of people that received, or were eligible to receive CHC funding increased from 125,000 in 2011-2012 to 160,000 in 2015-15. It also identified significant variation between CCGs in both the number and proportion of people assessed as eligible for CHC. Concerns raised by members of the public about the CHC process are included in the appendices. (Edited publisher abstract)

Subject terms:
health needs, assessment, access to services, eligibility criteria, health care, social care provision, clinical commissioning groups, local authorities, costs, financing;
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